CREATING & IMPROVING YOUR BACKGROUND CHECK POLICY

Size: px
Start display at page:

Download "CREATING & IMPROVING YOUR BACKGROUND CHECK POLICY"

Transcription

1 STEP BY STEP GUIDE: CREATING & IMPROVING YOUR BACKGROUND CHECK POLICY PRESENTED BY Curt Schwall, CCEP VP of Compliance & Regulatory Affairs

2 Curt Schwall Vice President of Compliance & Regulatory Affairs Employment Background Investigations, Inc. 700 Red Brook Blvd. Owings Mills, MD Phone: x399

3 LEGAL DISCLAIMER The information contained within this presentation is for general informational purposes only and does not constitute legal advice. Participants are advised to contact professional legal counsel for legal advice.

4 TODAY S AGENDA Why Have a Policy? 10 Steps to Create a Policy Q&A

5 Why Have a Background Check Policy? Background Checks are Complicated Program Consistency Documentation of Compliance Policies and Procedures Risk Mitigation And

6 DEFENSIBILITY ebi.tips/fcra-suits

7 FCRA Lawsuits Settlements Healthcare Provider $1.3 Million Pet Supply Company $1.2 Million Mass Retailer $3 Million Pizza Delivery Company $2.5 Million Transportation Company $2.75 Million Ride Sharing Company $7.4 Million Beverage Company $1.2 Million

8 IT ISN T ENOUGH TO JUST CHECK THE BOX

9 STEP 1 Company Statement Define the Purpose and Scope Safety Security Asset Protection Brand Reputation Culture and Values Integrity Anti-discrimination Statement

10 Sample Company Statement ABC Industries background check program is designed to promote a safe and healthy work environment. Consistent with our company core values, we seek to recruit team members who will represent our company brand with honesty and integrity. Our Company s reputation is dependent on each team member s adherence to the guiding principles on which this company is based. Our financial success is also dependent on the protection of our assets. Information from a background check is just one of many factors that our company will consider when evaluating an individual to be a part of our team. All background checks shall be performed in compliance with all applicable laws. The Company shall apply the same standards to all candidates regardless of their race, national origin, color, sex (including pregnancy, gender identity and sexual orientation), religion, disability, genetic information (including medical history) or age.

11 STEP 2 Program Oversight Program Administration Program Responsibility Requestor Authorization Order Placement Post Interview Post Offer Finalists Know Your Ban the Box Laws Report Review

12 STEP 3 Background Check Services What Services Fit Your Specific Needs Job Relevance Justification for Services Criminal Records Credit Know Where Credit Reports are Restricted By Law for Employment Purposes Motor Vehicle Records Regulated Industries

13 Background Check Services Individual background check services may be ordered as they relate to the specific job for which the individual is being considered. The following services will be utilized: Criminal Record Checks This service will be utilized to identify any past criminal history and/or dishonesty. These checks may include information obtained from a county court level (state courts), a state repository, a federal district level or from a search of a nationwide criminal record database. Credit History Check This service will be utilized to identify any personal credit matters of concern. This check shall be restricted to Executive and Finance related positions as permitted by law. Motor Vehicle Record This service shall be used to verify that a candidate has a valid driver s license and a safe driving history. This shall be a required search of any candidate who may drive a vehicle as part of their job duties.

14 STEP 4 Background Check Packages Job Relevancy Tailor Packages to Job Tiers Executive Finance Management Drivers Entry-level positions Promotions Contractors, Temporary Staff Recurring Background Checks

15 3 Types of Packages Executive Package Social Security Trace County Criminal Record Checks based upon address history Federal Criminal Record Checks based upon address history National Criminal Record Database Motor Vehicle Record Check Civil Record Checks Employment Credit Report (as permitted by law) Education Verification Employment Verification Recurring Background Check County Criminal Record Check in county of residence Federal Criminal Record Check in federal district of residence National Criminal Record Database Management Positions Social Security Trace County Criminal Record Checks based upon address history Federal Criminal Record Checks based upon address history National Criminal Record Database Motor Vehicle Record Check Education Verification Employment Verification

16 STEP 5 Ordering Process and Compliance Authorized Requestors Forms, forms, forms Disclosure Form Don t include extraneous information on Disclosure Form Authorization Form Can be combined with Disclosure Form, but be careful! State Forms and Requirements New York Correction Law 23A Summary of Rights Under the FCRA California Statement of Consumer Rights

17 STEP 6 Report Evaluation Process Identify Report Evaluator(s) Individualized Assessment Do not have automatic disqualifiers Scoring Matrices Pass/Review

18 STEP 6 Report Evaluation Process (Cont.) EEOC Factors (Criminal Records) The facts and circumstances surrounding the offense. The number of offenses for which the individual was convicted. The age of the individual at the time of conviction or release from prison. Evidence that the individual has performed the same type of work post-conviction, with the same or different employer, without incidents of criminal conduct. The length and consistency of employment history before and after the offense. Any efforts of the candidate towards rehabilitation. Employment or character references obtained regarding the individual s fitness for the particular position. Whether the individual will be bonded for the position.

19 STEP 6 Report Evaluation Process (Cont.) Local compliance NY Correction Law 23-A The public policy of the State of New York to encourage the employment of persons previously convicted of one or more criminal offenses. The specific duties and responsibilities necessarily related to the employment sought. The bearing, if any, the criminal offense or offenses for which the person was previously convicted will have on their fitness to perform duties and responsibilities. The time which has elapsed since the occurrence of the criminal offense(s). The age of the person at the time of the offense. The seriousness of the offense(s). Any information produced by the candidate, or produced on their behalf, in regard to their rehabilitation and good conduct. The legitimate interest in protecting property, and the safety and welfare of specific individuals or the general public.

20 STEP 7 Adverse Action Processing Initiate PRIOR to a Final Decision Do not indicate a final adverse decision has been made until the end of the process Pre-Adverse Process Notice Copy of the Consumer Report Copy of A Summary of Your Rights Under the Fair Credit Reporting Act Determine Appropriate Waiting Period Halt Process for a Dispute Adverse Action Notice

21 UNDERSTAND ANY UNIQUE ADVERSE ACTION REQUIREMENTS!

22 Jurisdictions with Unique Requirements State of California Los Angeles, CA San Francisco, CA Portland, OR New York City, NY Prince George s County, MD Montgomery County, MD Philadelphia, PA Austin, TX Seattle, WA State of Massachusetts (CORI)

23 STEP 7 Adverse Action Processing (Cont.) Document decision and reasoning. Candidate has a prior history of violence and may present a safety risk to employees and the public. Candidate applied for a position of trust and has demonstrated previous acts of dishonesty. Candidate does not have a bachelor s degree as indicated on job application.

24 STEP 8 Document Retention FACT Act Five Years from date of incident Two Years from date of discovery Retention Policy

25 STEP 9 Privacy Protection Information Security Policy Trusted Candidate Personal Identifier Information (PII) Personal History Background checks may only be accessed by authorized personnel Personal Identification Information shall be protected Reports must be store in a locked cabinet Reports no longer needed must be destroyed

26 STEP 9 Privacy Protection (Cont.) Background Screening Partner Considerations Privacy Policy Information Security Certifications such as ISO27001 Off-shore PII Access Background checks cannot be performed without access to PII.

27 STEP 10 Review and Approval Policy Review and Approval General Counsel or Outside Counsel Version Control Approval Process for Changes Approval Date

28 The 10 Steps to Creating Your Background Check Policy 1 Company Statement 6 Report Evaluation Process 2 Program Oversight 7 Adverse Action Processing 3 Background Check Services 8 Document Retention 4 Background Check Packages 9 Privacy Protection 5 Ordering Process and Compliance 10 Review and Approval

29 THANK YOU! Questions? Curt Schwall x399 Download Your Free Sample Policy

Transit Authority of Central Kentucky 1209 N. Dixie Ave. Elizabethtown, KY Phone: (270) Fax: (270)

Transit Authority of Central Kentucky 1209 N. Dixie Ave. Elizabethtown, KY Phone: (270) Fax: (270) Employment Application Transit Authority of Central Kentucky 1209 N. Dixie Ave. Elizabethtown, KY 42701 Phone: (270) 765-2612 Fax: (270) 234-0116 APPLICANT INFORMATION Today s Date: Position Applied For:

More information

NOTICE REGARDING BACKGROUND INVESTIGATION ACKNOWLEDGEMENT AND AUTHORIZATION

NOTICE REGARDING BACKGROUND INVESTIGATION ACKNOWLEDGEMENT AND AUTHORIZATION legal advice or counsel. Employers using consumer reports for employment screening purposes should consult with their own legal counsel about their responsibilities under the Fair Credit Reporting Act

More information

BACKGROUND CHECK DISCLOSURE

BACKGROUND CHECK DISCLOSURE BACKGROUND CHECK DISCLOSURE In the interest of maintaining the safety and security of our customers, employees, and property, Tanner Medical Center - Volunteer (the Company ) will order a consumer report

More information

DISCLOSURE CONCERNING REQUEST FOR BACKGROUND CHECK REPORT

DISCLOSURE CONCERNING REQUEST FOR BACKGROUND CHECK REPORT DISCLOSURE CONCERNING REQUEST FOR BACKGROUND CHECK REPORT Dakota Cat LLC (the Company ) will obtain a consumer report (a background check report) on you in connection with your application for employment

More information

BlueRibbon. Authorization for Background Check, State Law Notices and Combined Summaries of Rights Disclosure

BlueRibbon. Authorization for Background Check, State Law Notices and Combined Summaries of Rights Disclosure BlueRibbon Authorization for Background Check, State Law Notices and Combined Summaries of Rights Disclosure In the interest of maintaining the safety and security of our customers, employees and property,

More information

Executive Transportation Services, Inc. Employment Application Form

Executive Transportation Services, Inc. Employment Application Form Employment Application Form PLEASE PRINT ALL INFORMATION REQUESTED This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race,

More information

Liberto Manufacturing Co., Inc.

Liberto Manufacturing Co., Inc. Liberto Manufacturing Co., Inc. Ricos Liberto Products Management Co., Inc. An Equal Employment Opportunity Employer Liberto Management is committed to the principle of equal employment opportunity for

More information

Chase County Community Hospital

Chase County Community Hospital Chase County Community Hospital 600 West 12 th P.O. Box 819 Imperial, NE 69033 APPLICATION FOR EMPLOYMENT (10-13-2016) An Equal Opportunity Employer - All qualified applicants will receive consideration

More information

DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES. Disclosure

DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES. Disclosure DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES Disclosure Zimmerman Associates, Inc. (the Company ) may request from a consumer reporting agency and for employment-related

More information

Application for Employment

Application for Employment Application for Employment The Plains State Bank is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, religion, sex, ancestry,

More information

DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES

DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES R&R Express, Inc and Affiliates (the Company ) may request from a consumer reporting agency and for employment-related

More information

Disclosure of Intent to Obtain Consumer Report and/or Investigative Consumer Report for Employment Purposes

Disclosure of Intent to Obtain Consumer Report and/or Investigative Consumer Report for Employment Purposes Disclosure of Intent to Obtain Consumer Report and/or Investigative Consumer Report for Employment Purposes By this document and pursuant to the Fair Credit Reporting Act (FCRA), 4-County Electric Power

More information

AUTHORIZATION OF BACKGROUND INVESTIGATION FORM

AUTHORIZATION OF BACKGROUND INVESTIGATION FORM AUTHORIZATION OF BACKGROUND INVESTIGATION FORM I have carefully read and understand this Disclosure and Authorization form and the attached summary of rights under the Fair Credit Reporting Act. By my

More information

Background Report Disclosure and Authorization Form

Background Report Disclosure and Authorization Form Disclosure Regarding Background Investigation Background Report Disclosure and Authorization Form Please read this the information on this form carefully. It describes your rights as a consumer. The University

More information

DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES. Disclosure

DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES. Disclosure DISCLOSURE AND AUTHORIZATION REGARDING BACKGROUND INVESTIGATION FOR EMPLOYMENT PURPOSES Disclosure Midwestern University (the University ) may request from a consumer reporting agency and for employment-related

More information

THIS CONSENT FORM MUST BE SIGNED & FAXED/SENT IN TO YOUR RECRUITER

THIS CONSENT FORM MUST BE SIGNED & FAXED/SENT IN TO YOUR RECRUITER THIS CONSENT FORM MUST BE SIGNED & FAXED/SENT IN TO YOUR RECRUITER Release Form For Consumer Reports C# A# In connection with my application for employment (including contract for services), I understand

More information

BACKGROUND INFORMATION FORM FOR BACKGROUND CHECK (Ver. 1.17)

BACKGROUND INFORMATION FORM FOR BACKGROUND CHECK (Ver. 1.17) BACKGROUND INFORMATION FORM FOR BACKGROUND CHECK (Ver. 1.17) BackTrack, a GIS Division is an employment screening company that conducts background checks on prospective employees/employees for our clients

More information

ONLINE APPLICATION. After receiving your application, what is the best way for us to contact you?

ONLINE APPLICATION. After receiving your application, what is the best way for us to contact you? ONLINE APPLICATION To apply for a new apartment home at Park Trace, please fill out the application and credit card authorization. You may print, sign and send it to our office via: Fax: (770) 242-9018

More information

American River Commons Application Criteria Conventional

American River Commons Application Criteria Conventional American River Commons Application Criteria Conventional Thank you for choosing American River Commons as your potential new home. We are pleased that you have chosen to reside in our community, and the

More information

CONSUMER DISCLOSURE AND AUTHORIZATION FORM. Disclosure Regarding Background Investigation

CONSUMER DISCLOSURE AND AUTHORIZATION FORM. Disclosure Regarding Background Investigation CONSUMER DISCLOSURE AND AUTHORIZATION FORM Disclosure Regarding Background Investigation Providence Health & Services (the Company ) may request, for lawful employment purposes, background information

More information

Date. Signature of Legal Parent or Guardian. Print Name

Date. Signature of Legal Parent or Guardian. Print Name Date I, the undersigned parent or legal guardian of, do hereby consent, on behalf of myself and said child, to have a background report prepared by Sterling Infosystems, Inc. and delivered to for use for

More information

DISCLOSURE AND AUTHORIZATION IMPORTANT PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGMENT

DISCLOSURE AND AUTHORIZATION IMPORTANT PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGMENT DISCLOSURE REGARDING BACKGROUND INVESTIGATION Wexford Health Sources ( the Company or Employer ) may obtain information about you from a consumer reporting agency for employment purposes. Thus, you may

More information

Consumer FAQs Reviewed by the NAPBS Board on March 19, Best Practices Committee

Consumer FAQs Reviewed by the NAPBS Board on March 19, Best Practices Committee Consumer FAQs Reviewed by the NAPBS Board on March 19, 2014 www.napbs.com Best Practices Committee NAPBS Copyright Notice and Disclaimer Version 1.1 July 2011 (the NAPBS License or the License ) This document

More information

DISCLOSURE REGARDING BACKGROUND INVESTIGATION FOR ALL EMPLOYMENT CANDIDATES (REGARDLESS OF LOCATION):

DISCLOSURE REGARDING BACKGROUND INVESTIGATION FOR ALL EMPLOYMENT CANDIDATES (REGARDLESS OF LOCATION): DISCLOSURE REGARDING BACKGROUND INVESTIGATION FOR ALL EMPLOYMENT CANDIDATES (REGARDLESS OF LOCATION): To the extent permitted by applicable local law: Strategic Resources, Inc. (The Company) may obtain

More information

Tiger Sanitation, Inc US Hwy 87 E San Antonio, TX 78222

Tiger Sanitation, Inc US Hwy 87 E San Antonio, TX 78222 Tiger Sanitation, Inc. 6315 US Hwy 87 E San Antonio, TX 78222 Employment Application Tiger Sanitation, Inc. (the "Company") is an equal opportunity employer and does not discriminate against qualified

More information

Employer Use of Background Checks:

Employer Use of Background Checks: Employer Use of Background Checks: Recent Developments in Anti-Discrimination Enforcement and Complying with the Fair Credit Reporting Act Presented by: Jennifer N. Warberg Jennifer N. Warberg Attorney

More information

HomeSafe San Jose Tenant Selection Criteria

HomeSafe San Jose Tenant Selection Criteria HomeSafe San Jose Tenant Selection Criteria General Information: Attached is an application form (it gives no lease or rent rights). All applications must be complete to be considered. The completed application

More information

Understanding and Effectively Negotiating Contracts

Understanding and Effectively Negotiating Contracts Understanding and Effectively Negotiating Contracts Stephen K. Phillips Principal Hooper, Lundy & Bookman, P.C. 1 Los Angeles San Francisco San Diego Washington D.C. What is a Contract? An enforceable

More information

INVESTIGATIVE CONSUMER REPORT NOTICE

INVESTIGATIVE CONSUMER REPORT NOTICE INVESTIGATIVE CONSUMER REPORT NOTICE The Institute of Reading Development (the Company ) wants you to know that an investigative consumer report about you may be obtained for employment purposes when considering

More information

Church Mutual Recommends First Advantage

Church Mutual Recommends First Advantage Church Mutual Recommends First Advantage After careful review, Church Mutual selected First Advantage as its preferred background screening vendor. First Advantage offers premier-level, Web-based screening

More information

Yes No. To: (Mo./Yr.) (Mo./Yr.) Other Education Training (including business, trade, or military service schools, etc.)

Yes No. To: (Mo./Yr.) (Mo./Yr.) Other Education Training (including business, trade, or military service schools, etc.) APPLICATION FOR EMPLOYMENT/INDEPENDENT CONTRACTOR 7761 Garden Grove Blvd. Garden Grove, CA 92841 Phone: (714) 898-8888 Fax: (714) 908-8097 Nhan Hoa Comprehensive Health Care Clinic ( Nhan Hoa ) provides

More information

INTRODUCTION TO THE LAW ON BACKGROUND SCREENING Presented By: Todd M. Higey, General Counsel

INTRODUCTION TO THE LAW ON BACKGROUND SCREENING Presented By: Todd M. Higey, General Counsel INTRODUCTION TO THE LAW ON BACKGROUND SCREENING Presented By: Todd M. Higey, General Counsel Legal stuff Todd M. Higey, Esq. is General Counsel for Employment Screening Services, Inc. This PowerPoint presentation

More information

Background Checks: What Your Company Needs to Know. Joe Kroeger (520)

Background Checks: What Your Company Needs to Know. Joe Kroeger (520) Background Checks: What Your Company Needs to Know Joe Kroeger (520) 882-1254 jkroeger@swlaw.com April 10, 2017 Items for Today s Presentation Fair Credit Reporting Act The Basics Background/Credit Checks

More information

Hot Topics in Employment Law. February 6, 2019

Hot Topics in Employment Law. February 6, 2019 Hot Topics in Employment Law February 6, 2019 NFIB Small Business Legal Center We are the voice for small business in the courts and the legal resource for small business owners nationwide. While the information

More information

DISCLOSURE REGARDING BACKGROUND INVESTIGATION

DISCLOSURE REGARDING BACKGROUND INVESTIGATION DISCLOSURE REGARDING BACKGROUND INVESTIGATION ( the Company ) may obtain information about you from a consumer reporting agency for employment purposes. Thus, you may be the subject of a consumer report

More information

FCRA Rights and State-City Materials

FCRA Rights and State-City Materials FCRA Rights and State-City Materials A Summary of Your Rights Under the Fair Credit Reporting Act... 2 State Specific Notices Regarding Background Reports (CA, MA, MN, NJ, NY, WA)... 6 SUMMARY OF RIGHTS

More information

EMPLOYMENT BACKGROUND CONSENT AUTHORIZATION FORM

EMPLOYMENT BACKGROUND CONSENT AUTHORIZATION FORM EMPLOYMENT BACKGROUND CONSENT AUTHORIZATION FORM As an employee (current or pending) with Cornell Cooperative Extension of Suffolk County, I hereby authorize Cornell Cooperative Extension of Suffolk County

More information

Previous Address (If at current address less than five years) Daytime, Cellphone, Message, or Pager Number

Previous Address (If at current address less than five years) Daytime, Cellphone, Message, or Pager Number APPLICATION FOR EMPLOYMENT WE ARE AN EQUAL OPPORTUNITY EMPLOYER Thank you for your interest in employment opportunities with our company. Please complete all sections of this application to assist us in

More information

HELZER COURTS APARTMENTS Tenant Selection Criteria

HELZER COURTS APARTMENTS Tenant Selection Criteria Helzer Courts Apartments is located at 2950 McIntyre Drive, in San Jose, CA. The property has 155, two and three bedroom units and is administered under the Low Income Housing Tax Credit program. Section

More information

BACKGROUND CHECK DISCLOSURE STATE SPECIFIC NOTICES

BACKGROUND CHECK DISCLOSURE STATE SPECIFIC NOTICES BACKGROUND CHECK DISCLOSURE This disclosure shall serve as notification that (the Company ) may request a consumer report or investigative consumer report on you in connection with your application for

More information

Building an Effective Background Screening Program

Building an Effective Background Screening Program Building an Effective Background Screening Program April 12 th, 2017 Presented by Matt Jaye Vice President, Sales Agenda About Corporate Screening Background Screening Industry Overview Compliance Trends

More information

What position are you applying for? Department. Position Title. Personal Information. Name: Last First Middle Initial. Address: Street City State Zip

What position are you applying for? Department. Position Title. Personal Information. Name: Last First Middle Initial. Address: Street City State Zip Ravalli County Human Resource Office 215 S. 4 th Street, Suite B Hamilton, MT 59840 Phone: (406) 375-6519 Fax: (406) 375-6523 E-mail: rjenni@rc.mt.gov RAVALLI COUNTY EMPLOYMENT APPLICATION AN EQUAL OPPORTUNITY

More information

HIDALGO COUNTY APPRAISAL DISTRICT APPLICATION FOR EMPLOYMENT

HIDALGO COUNTY APPRAISAL DISTRICT APPLICATION FOR EMPLOYMENT HIDALGO COUNTY APPRAISAL DISTRICT ADMINISTRATION BOARD OF DIRECTORS Rolando Garza, Chief Appraiser Richard A. Garza Chairman Jorge Gonzalez, Asst. Chief Appraiser David Hernandez Vice-Chairman Brent E

More information

By Doug Kauffman. bigstockphoto.com/bigedhar

By Doug Kauffman. bigstockphoto.com/bigedhar By Doug Kauffman bigstockphoto.com/bigedhar It is no secret that banks are subject to numerous regulatory obligations that far exceed those applicable to non-regulated employers. This spring I had an opportunity

More information

FCRA Compliance: Quarterly Update. Presented: April 4, 2017

FCRA Compliance: Quarterly Update. Presented: April 4, 2017 FCRA Compliance: Quarterly Update Presented: April 4, 2017 1 This Webinar Is INTERACTIVE! Ask a Question Join the Conversation Contact Us Download Resources Today s Presenters Joe Rotondo Vice President

More information

2. Do you have any relatives who are presently (or have formerly been) employed by The City of Valley? (Please list names)

2. Do you have any relatives who are presently (or have formerly been) employed by The City of Valley? (Please list names) APPLICATION FOR EMPLOYMENT CITY OF VALLEY (Please Print) We are an equal Opportunity employer, dedicated to a policy of nondiscrimination in employment on any basis including age, sex, color, race, creed,

More information

(PLEASE PRINT) DATE OF APPLICATION

(PLEASE PRINT) DATE OF APPLICATION IF AN INTERVIEW IS NECESSARY WE WILL CONTACT YOU. TEXAS CRANE SERVICES APPLICATION FOR EMPLOYMENT TEXAS CRANE SERVICES CONSIDERS ALL APPLICANTS FOR POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, CREED,

More information

Background Information And Authorization

Background Information And Authorization Background information Please respond to all questions for you personally and any organization over which you have exercised control. If you answer yes to any questions, you must attach a signed and dated

More information

Reeves Construction Company, Inc. And subsidiaries

Reeves Construction Company, Inc. And subsidiaries Reeves Construction Company, Inc. And subsidiaries Employment Application Disclaimer THE EMPLOYMENT RELATIONSHIP BETWEEN REEVES CONSTRUCTION COMPANY, INC. AND ITS EMPLOYEES IS AT-WILL AND VOLUNTARY. THIS

More information

VILLA HERMOSA RESIDENT SELECTION CRITERIA

VILLA HERMOSA RESIDENT SELECTION CRITERIA Villa Hermosa is a senior apartment community. It is located at 1640 Hermocilla Way, San Jose, CA. The property has 99, one bedroom units; and one 2 bedroom Manager s Unit. It is administered under the

More information

Employment Application

Employment Application Employment Application Department of Human Resources 1301 West Main Wilburton, OK 74578 Phone: 918.465.1777 Fax: 918.465.4421 www.eosc.edu/employment APPLICANT INFORMATION Name: (first) (middle initial)

More information

DISCLOSURE City of Dover

DISCLOSURE City of Dover DISCLOSURE In considering you for employment and, if you are employed, in considering you for subsequent promotion, assignment, reassignment, retention, or discipline, [ City of Dover ] ( the Company )

More information

Provide the employee with the attached FCRA Summary of Rights (pages 6 and 7).

Provide the employee with the attached FCRA Summary of Rights (pages 6 and 7). ADP TotalSource Background Check Submission Form and Employee Authorization for Clients Processing Background Checks through ADP Screening and Selection Services Note that prior to conducting a background

More information

EMPLOYMENT CANDIDATE CONSENT TO BACKGROUND INVESTIGATION

EMPLOYMENT CANDIDATE CONSENT TO BACKGROUND INVESTIGATION EMPLOYMENT CANDIDATE CONSENT TO BACKGROUND INVESTIGATION DISCLOSURE THAT REPORT MAY BE OBTAINED: This is to inform you that a consumer report may be obtained from a consumer reporting agency for the purpose

More information

BACKGROUND CHECK DISCLOSURE DOCUMENT

BACKGROUND CHECK DISCLOSURE DOCUMENT NOTICE TO PRECISE HIRE CLIENT: The sample documents included in this PDF should NOT be construed as legal advice, guidance or counsel. Employers should consult their own attorney about their compliance

More information

EMPLOYMENT APPLICATION (please print all information and then sign on the signature line)

EMPLOYMENT APPLICATION (please print all information and then sign on the signature line) EMPLOYMENT APPLICATION (please print all information and then sign on the signature line) WE ARE AN EQUAL OPPORTUNITY EMPLOYER We Drug Test We Maintain a Smoke-Free Workplace We Participate in E-Verify

More information

Instructions for Application to Rent

Instructions for Application to Rent Instructions for Application to Rent Use this Form When: To obtain the necessary information to legally screen a prospective Resident. The Application to Rent is useful in the unlawful detainer and collection

More information

INDIANA COUNTY Employment Application

INDIANA COUNTY Employment Application INDIANA COUNTY Employment Application Mailing Address: 825 Philadelphia Street Indiana, PA 15701 Phone: 724-465-3805 Fax: 724-465-3953 Indiana County is an equal opportunity employer, dedicated to a policy

More information

Fixed Life Transmittal. The Field Marketing Organization (FMO) that I will be selling my Fixed Life business with is

Fixed Life Transmittal. The Field Marketing Organization (FMO) that I will be selling my Fixed Life business with is Allianz life Insurance Company of North America PO Box 59060 Minneapolis, MN 55459-0060 800.950.7372 Fax: 763.582.6005 Web: www.allianzlife.com Overnight address: 5701 Golden Hills Drive Minneapolis, MN

More information

RESIDENCY PROCESS. Qualifying Standards:

RESIDENCY PROCESS. Qualifying Standards: RESIDENCY PROCESS All Applicants for residency will be evaluated using the criteria listed below and will receive equal opportunity to obtain a home. Qualified applicant(s) will have priority based upon

More information

BOROUGH OF PERKASIE APPLICATION FOR EMPLOYMENT PLEASE PRINT. Name: Last First Middle JOB DATA. Full Time Part Time Full Time & Part Time

BOROUGH OF PERKASIE APPLICATION FOR EMPLOYMENT PLEASE PRINT. Name: Last First Middle JOB DATA. Full Time Part Time Full Time & Part Time BOROUGH OF PERKASIE 620 W. Chestnut Street Phone (215) 257-5065 PO Box 96 Fax (215) 257-6875 Perkasie, Pa. 18944-0096 APPLICATION FOR EMPLOYMENT Federal, state and local laws and regulations prohibit discrimination

More information

An Equal Opportunity Employer M/F/V/D

An Equal Opportunity Employer M/F/V/D Circuits & Cables Inc. (CCI) APPLICATION FOR EMPLOYMENT It is our policy to provide equal employment opportunity to all qualified persons without regard to race, age, color, sex, religion, national origin,

More information

Employment Application

Employment Application Employment Application Please return your completed application to the Security Entrance or the Welcome Center in the Box Office. Applications can also be mailed to: Human Resources One Sports Parkway,

More information

DISCLOSURE REGARDING BACKGROUND INVESTIGATION IMPORTANT -- PLEASE READ CAREFULLY BEFORE SIGNING AUTHORIZATION

DISCLOSURE REGARDING BACKGROUND INVESTIGATION IMPORTANT -- PLEASE READ CAREFULLY BEFORE SIGNING AUTHORIZATION DISCLOSURE REGARDING BACKGROUND INVESTIGATION IMPORTANT -- PLEASE READ CAREFULLY BEFORE SIGNING AUTHORIZATION Hospital Sisters Health System ( the Company ) may obtain information about you for employment/volunteer

More information

Disclaimer. Background WHAT MUNICIPALITIES AND PUBLIC ENTITIES SHOULD KNOW ABOUT CORI REFORM IN MASSACHUSETTS WEBINAR

Disclaimer. Background WHAT MUNICIPALITIES AND PUBLIC ENTITIES SHOULD KNOW ABOUT CORI REFORM IN MASSACHUSETTS WEBINAR WHAT MUNICIPALITIES AND PUBLIC ENTITIES SHOULD KNOW ABOUT CORI REFORM IN MASSACHUSETTS WEBINAR Michele E. Randazzo, Esq. & Janelle M. Austin, Esq. March 11, 2014 All materials Copyright 2014 Kopelman and

More information

HERITAGE RANCH COMMUNITY SERVICES DISTRICT APPLICATION FOR EMPLOYMENT GENERAL INFORMATION

HERITAGE RANCH COMMUNITY SERVICES DISTRICT APPLICATION FOR EMPLOYMENT GENERAL INFORMATION 4870 HERITAGE ROAD PASO ROBLES, CA 93446 PHONE: (805) 227-6230 FAX: (805) 227-6231 AN EQUAL OPPORTUNITY EMPLOYER HERITAGE RANCH COMMUNITY SERVICES DISTRICT APPLICATION FOR EMPLOYMENT EQUAL OPPORTUNITY

More information

University Policy BACKGROUND CHECKS: CRIMINAL CONVICTIONS AND CREDIT CHECKS

University Policy BACKGROUND CHECKS: CRIMINAL CONVICTIONS AND CREDIT CHECKS University Policy 200.04 BACKGROUND CHECKS: CRIMINAL CONVICTIONS AND CREDIT CHECKS Responsible Administrator: Office of the President Responsible Office: Office of Human Resources Originally Issued: August

More information

Vspec Vehicle Claim Specialists EMPLOYMENT APPLICATION

Vspec Vehicle Claim Specialists EMPLOYMENT APPLICATION Vspec Vehicle Claim Specialists EMPLOYMENT APPLICATION FOR MANAGERS USE ONLY Equal access to programs, services, and employment is available to all persons. Applicants requiring reasonable accommodation

More information

APPLICANT Full Name (Last) (First) (Ml) Date of Birth Home Phone Number ( ) Cell Phone Number ( ) Work Phone Number ( ) Area Code

APPLICANT Full Name (Last) (First) (Ml) Date of Birth Home Phone Number ( ) Cell Phone Number ( ) Work Phone Number ( ) Area Code Application for Residency Hunter Lafayette Properties (Every additional live-in resident over the age of 18 as of the lease commencement date must submit a separate application and sign the lease) APPLICANT

More information

CONSUMER AUTHORIZATION Fax Completed Documents to GIS at (866)

CONSUMER AUTHORIZATION Fax Completed Documents to GIS at (866) CONSUMER AUTHORIZATION Fax Completed Documents to GIS at (866) 853-7443 Authorization: By signing below, you authorize: (a) General Information Services, Inc. ( GIS ) to request information about you from

More information

Application Guidelines

Application Guidelines Application Guidelines Thank you for applying to Centennial at 5 th Apartments. We are committed to complying with all applicable laws, including Fair Housing laws and prohibit discrimination based on

More information

Voluntary Information for Equal Employment Opportunity Purposes

Voluntary Information for Equal Employment Opportunity Purposes Voluntary Information for Equal Employment Opportunity Purposes Below is a Voluntary Information Sheet that we would like you to complete. It will be used for Equal Opportunity purposes only. The requested

More information

Metro Loma Rental Selection Criteria

Metro Loma Rental Selection Criteria Metro Loma Rental Selection Criteria EQUAL HOUSING OPPORTUNITY 328 Mira Loma Glendale, CA 91204 (818) 241-2389 Fair Housing and Equal Opportunity Requirements This community is an Equal Opportunity Housing

More information

Adverse Action Guidelines

Adverse Action Guidelines Adverse Action Guidelines DISCLAIMER The information provided in this sample is designed to serve as a guide for our clients. These materials are not to be construed as the rendering of legal or management

More information

BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM

BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM In the interest of maintaining the safety and security of our customers, employees and property, CenterState Bank (the Company ) will order a consumer

More information

Name (First) (Middle) (Last) Address. (City) (State) (Zip Code) (Home Phone Number) (Cell Phone Number) ( Address)

Name (First) (Middle) (Last) Address. (City) (State) (Zip Code) (Home Phone Number) (Cell Phone Number) ( Address) Date Name (First) (Middle) (Last) Address (Number) (Street) (City) (State) (Zip Code) (Home Phone Number) (Cell Phone Number) (Email Address) List previous addresses within last 5 years Are you over 18

More information

NAME: DATE: ADDRESS: City: State: Zip: PHONE #: Cell#

NAME: DATE: ADDRESS: City: State: Zip: PHONE #: Cell# APPLICANTS ARE CONSIDERED FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, NATIONAL ORIGIN, AGE, GENDER, SEXUAL ORIENTATION, VETERAN STATUS, DISABILITY OR OTHER CLASSIFICATIONS PROTECTED BY APPLICABLE

More information

Carroll Hospital and Affiliates a LifeBridge Health Center CONSUMER DISCLOSURE AND AUTHORIZATION FORM. Disclosure Regarding Background Investigation

Carroll Hospital and Affiliates a LifeBridge Health Center CONSUMER DISCLOSURE AND AUTHORIZATION FORM. Disclosure Regarding Background Investigation CONSUMER DISCLOSURE AND AUTHORIZATION FORM Disclosure Regarding Background Investigation Carroll Hospital and Affiliates (the Company ) may request, for lawful employment purposes, background information

More information

Disclosure Regarding Background Investigation

Disclosure Regarding Background Investigation Disclosure Regarding Background Investigation To authorize your background check, please carefully read the Disclosure Agreement and fill out the information below including your full legal name as it

More information

Patrick Traynor, Ph.D., Superintendent 43 Hawkside Drive, Markleeville, CA PHONE (530) FAX (530)

Patrick Traynor, Ph.D., Superintendent 43 Hawkside Drive, Markleeville, CA PHONE (530) FAX (530) Alpine County Office of Education Alpine County Unified School District Patrick Traynor, Ph.D., Superintendent 43 Hawkside Drive, Markleeville, CA 96120-9522 PHONE (530) 694-2230 FAX (530) 694-2379 APPLICATION

More information

HOLDING EMPLOYERS AND EMPLOYEES ACCOUNTABLE. In the State of New York, there is a long settled rule that employees are hired at will unless

HOLDING EMPLOYERS AND EMPLOYEES ACCOUNTABLE. In the State of New York, there is a long settled rule that employees are hired at will unless HOLDING EMPLOYERS AND EMPLOYEES ACCOUNTABLE Employment Discrimination Laws I. Overview In the State of New York, there is a long settled rule that employees are hired at will unless they enter into an

More information

Last Name First Name Middle Initial ADDRESS Street City County State Zip

Last Name First Name Middle Initial ADDRESS Street City County State Zip APPLICATION FOR EMPLOYMENT Kolberg-Pioneer, Inc. An Equal Opportunity Employer (HRF-002-03 01/16) This application is valid for the calendar year of 2018. Kolberg-Pioneer, Inc. will provide the Social

More information

PLEASE SUBMIT FORM VIA FAX OR UPLOAD FAX: PORTAL:

PLEASE SUBMIT FORM VIA FAX OR UPLOAD FAX: PORTAL: Applicant FCRA Disclosure Statement In connection with your employment or application for employment (or contract for services) and any future employment (or contract for services) with (TVTC) and any

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT EDWARDS, Inc. EDWARDS/Greenville, Inc EDWARDS/Wilmington, Inc Employment Desired: Position Desired: This Company Is An Equal Opportunity Employer This company is subject to E-Verify

More information

BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM

BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM In the interest of maintaining the safety and security of our customers, employees and property, Dillard University will order a consumer report (a background

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT Prospective people will receive consideration without discrimination because of race, religion, color, sex, age, national origin, handicap, sexual orientation or veteran status.

More information

Preliminary Rental Application Rural Development Financed Properties

Preliminary Rental Application Rural Development Financed Properties For Office Use Only Rec d Time Rec d Initials OP 203 Preliminary Rental Application Rural Development Financed Properties Please note that this is a preliminary application and gives no lease or rent rights.

More information

GREYSTAR REAL ESTATE PARTNERS RENTAL APPLICATION

GREYSTAR REAL ESTATE PARTNERS RENTAL APPLICATION GREYSTAR REAL ESTATE PARTNERS RENTAL APPLICATION APPLICANT CO-SIGNER Requested: Unit Type: Unit # Email Address: Applicant Name: Social Security #: Co-Signer Name: Social Security #: Driver s License #:

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, pregnancy, marital or veteran status, or any

More information

The Legal Side of Human Resources (HR) in Insurance

The Legal Side of Human Resources (HR) in Insurance The Legal Side of Human Resources (HR) in Insurance www.firstbeacongroup.com (508) 435-9889 Latest updates are in RED! Human Resources Quick Resources for Labor and Employment Laws If you have at least

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT MONTEREY COUNTY REGIONAL FIRE PROTECTION DISTRICT 19900 PORTOLA DRIVE, SALINAS, CA 93908 831.455.1828 fax 831.455.0646 www.mcrfd.org APPLICATION FOR EMPLOYMENT MONTEREY COUNTY REGIONAL FIRE PROTECTION

More information

Pre-Employment Application

Pre-Employment Application Pre-Employment Application This Company does not unlawfully discriminate with respect to age, sex, race, religion, national origin, disability, if otherwise qualified with reasonable accommodation, or

More information

BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM

BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM BACKGROUND CHECK DISCLOSURE AND AUTHORIZATION FORM In the interest of maintaining the safety and security of our customers, employees and property, (the Company ) will order a consumer report (a background

More information

Mosaic Gardens at Westlake

Mosaic Gardens at Westlake Mosaic Gardens at Westlake Apply today - Applications Accepted via First Class Mail only Thank you for your interest in applying to live at Mosaic Gardens at Westlake located at 111 S. Lucas Avenue in

More information

Print: Last Name First Name Middle Initial. Date of Birth Social Security Number Driver s License Number State

Print: Last Name First Name Middle Initial. Date of Birth Social Security Number Driver s License Number State Date Entry Fax Number: 205-380-7548 Data Entry Email: orders@es2.com Client Name: United Methodist North Alabama Conference Client Account Number: 100287 Name of Church: City: DISCLOSURE REGARDING BACKGROUND

More information

Clocktower Lofts Rental Selection Criteria

Clocktower Lofts Rental Selection Criteria Clocktower Lofts Rental Selection Criteria EQUAL HOUSING OPPORTUNITY 2500 Broadway, Ste. 406 Denver, CO 80202 (303) 789-9660 Fair Housing and Equal Opportunity Requirements This community is an Equal Opportunity

More information

Disclosure & Authorization Forms to Obtain Employment Background Report. 2 Disclosure Regarding Employment Background Report

Disclosure & Authorization Forms to Obtain Employment Background Report. 2 Disclosure Regarding Employment Background Report 55 Madison Avenue, Suite 400 Morristown, NJ 07960 TEL: 973-830.8300 FAX: 973-435-7111 www.continuiti.com Disclosure & Authorization Forms to Obtain Employment Background Report Page: Description: 2 Disclosure

More information

Last Name First M.I. Date. Street Address Apartment/Unit #

Last Name First M.I. Date. Street Address Apartment/Unit # WE CONSIDER APPLICANTS FOR ALL POSITIONS WITHOUT REGARD TO RACE, CREED, COLOR, MARITAL STATUS, SEX, RELIGION, NATIONAL ORIGIN, CLASS ORIGIN, NATIONALITY, AGE, PHYSICAL OR MENTAL DISABILITY, MILITARY STATUS,

More information

Space and Naval Warfare Systems Command Equal Employment Opportunity Program

Space and Naval Warfare Systems Command Equal Employment Opportunity Program Space and Naval Warfare Systems Command Equal Employment Opportunity Program The Space and Naval Warfare Systems Command (SPAWAR) is committed to ensuring that all employees and applicants for employment

More information

(Hunter Terre Haute Properties Residency Application - Rev. 3/2014) 1

(Hunter Terre Haute Properties Residency Application - Rev. 3/2014) 1 Hunter Terre Haute Properties Resident Screening Criteria Welcome to our community. Before you apply and complete a rental application, please take the time to review the resident screening criteria. Please

More information